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EDUCATION REPORT - July 4, 2002: Medical Residents
This is the VOA Special English
Education Report.
To become a doctor in the United States, students
usually attend four years of medical school after they complete college.
Then these young doctors work in hospitals for several years to complete
a training program called a residency.
These medical residents provide hospitals with needed services in return
for not much pay. They work under the supervision of medical professors
and more experienced doctors. Medical residents treat patients. They
carry out tests. They perform operations. They complete records. In
hospitals with few nurses, residents also do work formerly done by nurses.
Some medical residents work one-hundred or more
hours in a single week. They often work for more than thirty-six hours
at a time before they can rest.
Critics of this system say medical residents
work too long and do not get enough rest. They say these young doctors
may be too tired to perform their medical duties effectively.
Now, however, an organization that supervises
the training of medical residents has intervened. The Accreditation
Council for Graduate Medical Education says it will limit the number
of hours that residents can work. It acted because of concerns that
hospital workers are responsible for many serious mistakes. The new
work limits will begin in about a year. They will affect about one-hundred-thousand
medical residents.
Most doctors in training will be limited to
eighty hours of work each week. They will have work periods of no more
than twenty-four hours at one time. They will have ten hours of rest
between work periods.
Medical residents will have one day each week
when they do not have to work. Any work they accept outside their hospitals
will be limited. Experienced doctors and medical professors will closely
supervise the residents to make sure they are not too tired to work.
Many medical residents welcomed the work limits.
Others, however, said the new policy may interfere with patient care
and their own medical education.
The new work limits almost surely will mean
higher costs for many hospitals where residents work. This may increase
hospital costs by many millions of dollars across the United States.
This VOA Special English Education Report was
written by Jerilyn Watson and this is Bill White.
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